The NNT-WET and NNT-DRI: (Mostly) Satirical New Metrics to Emphasize the Inherent Inefficiency of Clinical Practice.
Abstract Dr. Reynolds has no disclosures, other than being a resuscitation science enthusiast, which inherently requires dogged optimism despite sizable numbers needed to treat. Clinicians must continually synthesize, integrate, and revise estimates of treatment effectiveness. The 'number needed to treat' (NNT),1 2 has emerged as a frontrunner among the absolute and relative measures that describe treatment effects. PMID: 31508856 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 11, 2019 Category: Emergency Medicine Authors: Reeves MJ, Reynolds JC Tags: Acad Emerg Med Source Type: research

Risk of recurrent venous thromboembolism and bleeding in cancer patients treated with direct oral anticoagulants versus low molecular weight heparin.
Abstract Venous thromboembolism (VTE) occurs in up to 30% of patients with cancer.1,2 Prior guidelines have recommended low molecular weight heparin (LMWH) for 3-6 months as first-line therapy in cancer patients with newly-diagnosed VTE.3-5 Unfortunately, LMWH is associated with poor compliance due to the need for subcutaneous injection.6,7 Direct oral anticoagulants (DOACs) have been increasingly used for the treatment of VTE, are administered orally with no requirement for regular laboratory monitoring, and may have fewer drug-drug interactions as compared with warfarin, despite DOACs possessing a greater cost c...
Source: Accident and Emergency Nursing - September 11, 2019 Category: Emergency Medicine Authors: Long B, Koyfman A, Gottlieb M Tags: Acad Emerg Med Source Type: research

Utility of Spinal Immobilization in Patients with Penetrating Trauma.
This article is protected by copyright. All rights reserved. PMID: 31495007 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 8, 2019 Category: Emergency Medicine Authors: Long B, Koyfman A, Gottlieb M Tags: Acad Emerg Med Source Type: research

Hot off the Press: Please Stop, Prescribing - Antibiotics for Viral Acute Respiratory Infections.
Abstract Antibiotics are prescribed daily in emergency departments (EDs) and urgent care centers (UCCs) for acute respiratory infections (ARIs). Despite recognizing the need for antibiotic stewardship, there continue to be many inappropriate prescriptions for antibiotic non-responsive ARIs. The authors of this study sought to evaluate the comparative effectiveness of two antibiotic stewardship interventions in reducing inappropriate prescriptions. An adapted intervention for ambulatory care settings was compared to an enhanced intervention that incorporated behavioral nudges, audit and feedback and peer comparison...
Source: Accident and Emergency Nursing - September 4, 2019 Category: Emergency Medicine Authors: Bond C, Morgenstern J, Heitz C, Milne WK Tags: Acad Emerg Med Source Type: research

Does Shared Decision-Making actually occur in the ED? Looking at it from the patients'  perspective.
CONCLUSIONS: Fewer than half of ED patients surveyed reported they were involved in SDM. The most common decision for which SDM was used was around ED disposition (admission vs. discharge). When SDM was employed, patients generally rated the discussion highly. This article is protected by copyright. All rights reserved. PMID: 31465130 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 29, 2019 Category: Emergency Medicine Authors: Schoenfeld EM, Probst MA, Quigley DD, St Marie P, Nayyar N, Sabbagh SH, Beckford T, Kanzaria HK Tags: Acad Emerg Med Source Type: research

Effects of Supplementation and Training on Ameliorating Lipid Profiles and Protection against Coronary Artery Disease; an Experimental Study.
Conclusions: Based on the findings, there was no difference in the level of CHO and HDL between the training groups, REV and control groups. However, both endurance exercise and acute exercise trainings resulted in an increase in TG and VLDL levels and decrease in LDL level, compared with the control group. PMID: 31432026 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Vafaee R, Soori H, Hedayati M, Hatamabadi HR Tags: Arch Acad Emerg Med Source Type: research

History and Structure of the Fourth Leading Emergency Medical Service in the World; a Review Article.
Abstract Over forty-three years have passed since the foundation of pre-hospital emergency care system in Iran. Considering the changes that have taken place in recent years in pre-hospital emergency and limited studies in this area, the present review aimed to describe the history, organizational structure, combination of workforce, dispatch system, medical direction and innovations in the pre-hospital system of Iran. The present paper also discusses the strengths and weaknesses of the current system. PMID: 31432027 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Shakeri K, Jafari M, Khankeh H, Seyedin H Tags: Arch Acad Emerg Med Source Type: research

Pulmonary Edema Following Intrathecal Fluorescein Injection; a Case Report.
In this study, we report a complicated case of pulmonary edema following Intrathecal fluorescein injection. PMID: 31432028 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Behnaz F, Ebrahimy Dehkordy M, Azizi Faresani H, Shahmohammadi M Tags: Arch Acad Emerg Med Source Type: research

Serum and Cerebrospinal Fluid Levels of S-100 β Is A Biomarker for Spinal Cord Injury; a Systematic Review and Meta-Analysis.
Serum and Cerebrospinal Fluid Levels of S-100β Is A Biomarker for Spinal Cord Injury; a Systematic Review and Meta-Analysis. Arch Acad Emerg Med. 2019;7(1):e19 Authors: Faridaalee G, Keyghobadi Khajeh F Abstract Introduction: There is controversy regarding the value of serum or cerebrospinal fluid (CSF) levels of S100 calcium-binding protein B (S-100B) in spinal cord injury (SCI). For reaching a general conclusion, the present meta-analysis was designed aiming to evaluate the value of serum and CSF levels of S-100B protein in detecting the presence of SCI in animal studies. Methods: An exten...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Faridaalee G, Keyghobadi Khajeh F Tags: Arch Acad Emerg Med Source Type: research

The Most and Least Stressful Prehospital Emergencies from Emergency Medical Technicians' View Point; a Cross-Sectional Study.
Abstract Introduction: Exposure to different prehospital emergencies (PE) may have a different impact on Emergency Medical Technicians (EMTs) based on the characteristics and circumstances of the emergency. The present study aimed to prioritize PE types according to their stressfulness as well as their correlation with post traumatic stress disorders (PTSD). Method: In this cross-sectional study, all EMTs in the Emergency Medical Services (EMS) of Hamadan province were invited to participate, voluntarily. The study questionnaire comprised of two parts: a) personal characteristics and prioritizing PE types in ...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Khazaei A, Esmaeili M, Navab E Tags: Arch Acad Emerg Med Source Type: research

Quebec Decision Rule in Determining the Need for Radiography in Reduction of Shoulder Dislocation; a Diagnostic Accuracy Study.
This study aimed to investigate the diagnostic value of QDR in this regard. Method: This diagnostic accuracy study was conducted on patients with shoulder dislocation visiting the emergency department. After filling out the QDR-based checklist for all patients, they underwent radiography and the obtained radiography results were compared to QDR-based clinical diagnostic findings. Results: 143 patients with the mean age of 32.1±12 years were evaluated (88.8% males). Sensitivity, specificity, and positive and negative predictive values of QDR were 50%, 58.2%, 3.3%, and 97.6%, respectively. The sensitivity an...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Bolvardi E, Alizadeh B, Foroughian M, Abbasi B, Habibzadeh SR, Akhavan R Tags: Arch Acad Emerg Med Source Type: research

Stress Cardiomyopathy (Takotsubo syndrome) Following Accidental Methadone Poisoning; Report of Two Pediatric Cases.
Abstract Methadone poisoning has become more common in the pediatric population due to extensive use of methadone maintenance therapy (MMT). It is associated with decreased level of consciousness, coma, respiratory distress and cardiac intoxication. The cardiac complications have been reported to be QT prolongation, torsade de pointes, coronary artery disease, arrhythmia, stress cardiomyopathy and death. We herein report two pediatric patients with accidental methadone poisoning who developed stress cardiomyopathy and cardiac failure. The first case was a 4-yaer-old girl and the second one was an 18-month-old girl...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Dehghani K, Shojaie M, Pourdavood AH, Khajouei M Tags: Arch Acad Emerg Med Source Type: research

Comment on "Pregnancy Screening before Diagnostic Radiography in Emergency Department; an Educational Review".
Comment on "Pregnancy Screening before Diagnostic Radiography in Emergency Department; an Educational Review". Arch Acad Emerg Med. 2019;7(1):e23 Authors: Bijwaard H, Wit F PMID: 31432033 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Bijwaard H, Wit F Tags: Arch Acad Emerg Med Source Type: research

Value of CA-125 Glycoprotein in Predicting Acute Appendicitis; a Diagnostic Accuracy Study.
Conclusion: Considering the lower levels of CA-125 in patients with AA compared with NAA cases and also weak screening performance characteristics, it seems that it could not be considered as an accurate screening tool in this regard. PMID: 31432034 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Pouraghaei M, Shahsavarinia K, Kakaei F, Gholipour-Khalili S, Mohammadpour B, Moharamzadeh P, Balafar M Tags: Arch Acad Emerg Med Source Type: research

Hepatic Artery Aneurysms as a Rare but Important Cause of Abdominal Pain; a Case Series.
This article aimed to report clinical presentation, imaging finding and treatment of some patients presenting with HAAs to emergency department. PMID: 31432035 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Haghighatkhah H, Sanei Taheri M, Kharazi SM, Zamini M, Rabani Khorasgani S, Jahangiri Zarkani Z Tags: Arch Acad Emerg Med Source Type: research

Association of Admission Blood Glucose Level with Major Adverse Cardiac Events in Acute Coronary Syndrome; a Cohort Study.
This study aims to assess the influence of ABGL on development of 30-day major adverse cardiac events (MACEs) in patients with suspected ACS. Methods: This is a prospective cohort study based on analysis of data collected from patients suspected to acute coronary syndrome admitted to emergency department. ABGL of patients was measured and its association with development of MACEs (MI, CVA, mortality) within 30 days of follow-up was studied. Results: 814 participants with the mean age of 61.8 ± 13.4 years were studied (58.1% male). MACE endpoints were developed in 166 (39.0%) hyperglycemic, 30 (46.9%) hypog...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Alavi-Moghaddam M, Parsa-Mahjoob M, Ghodssi-Ghassemabadi R, Bitazar B Tags: Arch Acad Emerg Med Source Type: research

Electrocardiogram Changes as an Independent Predictive Factor of Mortality in Patients with Acute Ischemic Stroke; a Cohort Study.
Abstract Introduction: Various factors such as age and severity of the stroke have been deemed connected with risk of mortality in patients with acute ischemic brain stroke. The present study was performed with the aim of evaluating the role of electrocardiogram (ECG) changes in predicting the outcome of these patients. Methods: In this cohort study, patients who had presented to the emergency department of a teaching hospital during 1 year and were diagnosed with acute ischemic stroke were evaluated. Demographic data and 12-lead ECG findings of the patients were gathered and their relationship with 1-year mo...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Asadi P, Zia Ziabari SM, Naghshe Jahan D, Jafarian Yazdi A Tags: Arch Acad Emerg Med Source Type: research

Seizure Prevalence and Its Related Factors in Tramadol Intoxication; a Brief Report.
Abstract Introduction: Seizure is known to be a serious complication of tramadol consumption even in its therapeutic doses. The aim of this study was to determine the prevalence of seizure and its related factors in tramadol intoxicated patients referred to emergency department (ED). Methods: In this cross-sectional study, all individuals, admitted to ED following tramadol intoxication were divided into two groups based on the presence or absence of seizures. Demographic data as well as clinical, electroencephalogram and imaging findings were compared between the two groups using SPSS software version 22. ...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Babahajian A, Khomand P, Manouchehri F, Fakhimi R, Ahsan B, Amjadian M, Yousefinejad V Tags: Arch Acad Emerg Med Source Type: research

Pre-Hospital Delay and Its Contributing Factors in Patients with ST-Elevation Myocardial Infarction; a Cross sectional Study.
Abstract Introduction: The outcome of ST-elevation myocardial infarction (STEMI) is significantly influenced by the total tissue ischemic time. In spite of efforts for reducing the in-hospital delay by full-time provision of primary percutaneous coronary intervention (P-PCI) in the 24/7 program, pre-hospital delay still persists. As a first report in Iran, we aimed to assess the duration of pre-hospital delay and its contributing factors in STEMI patients in the P-PCI era. Methods: The present cross-sectional study evaluated 2103 STEMI patients who underwent primary PCI from 2016 to 2018. Demographic, persona...
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Poorhosseini H, Saadat M, Salarifar M, Mortazavi SH, Geraiely B Tags: Arch Acad Emerg Med Source Type: research

Blood Urea Nitrogen to Creatinine ratio in Differentiation of Upper and Lower Gastrointestinal Bleedings; a Diagnostic Accuracy Study.
Conclusion: Considering the relatively proper specificity and positive predictive value of BUN/Cr ratio, in cases that bleeding source cannot be determined using other non-invasive methods, values higher than 35 can predict upper GI bleeding with high probability. However, due to the low sensitivity, values less than 35 are not diagnostic. PMID: 31432040 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Zia Ziabari SM, Rimaz S, Shafaghi A, Shakiba M, Pourkazemi Z, Karimzadeh E, Amoukhteh M Tags: Arch Acad Emerg Med Source Type: research

Helicopter Emergency Medical Services in 2017 Kermanshah Earthquake; a Qualitative Study.
Conclusion: According to the findings of this study, it is suggested that comprehensive training programs should be implemented for effective management of the air emergency process during disasters such as earthquakes. PMID: 31432041 [PubMed] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Sahebi A, Ghomian Z, Sarvar M Tags: Arch Acad Emerg Med Source Type: research

A Multicenter Randomized Trial to Evaluate a Chemical-first or Electrical-first Cardioversion Strategy for Patients With Uncomplicated Acute Atrial Fibrillation.
Abstract BACKGROUND: Emergency department (ED) patients with uncomplicated atrial fibrillation (AF) of less than 48 hours may be safely managed with rhythm control. Although both chemical-first and electrical-first strategies have been advocated, there are no comparative effectiveness data to guide clinicians. METHODS: At six urban Canadian centers, ED patients ages 18 to 75 with uncomplicated symptomatic AF of less than 48 hours and CHADS2 score of 0 or 1 were randomized using concealed allocation in a 1:1 ratio to one of the following strategies: 1) chemical cardioversion with procainamide infusion, followe...
Source: Accident and Emergency Nursing - August 19, 2019 Category: Emergency Medicine Authors: Scheuermeyer FX, Andolfatto G, Christenson J, Villa-Roel C, Rowe B Tags: Acad Emerg Med Source Type: research

Outpatient Treatment for Low-Risk Febrile Neutropenia.
This article is protected by copyright. All rights reserved. PMID: 31421005 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 17, 2019 Category: Emergency Medicine Authors: Gottlieb M, Koyfman A, Long B Tags: Acad Emerg Med Source Type: research

"It Wasn't Just One Thing": A Qualitative Study of Newly Homeless Emergency Department Patients.
CONCLUSIONS: These findings demonstrate gaps in current homeless prevention services and can help inform future interventions for unstably housed and homeless ED patients. More immediately, the findings provide rich, unique context to the lives of a vulnerable patient population commonly seen in EDs. PMID: 31418514 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 16, 2019 Category: Emergency Medicine Authors: Doran KM, Ran Z, Castelblanco D, Shelley D, Padgett DK Tags: Acad Emerg Med Source Type: research

Rocuronium vs. Succinylcholine for Rapid Sequence Intubation.
This article is protected by copyright. All rights reserved. PMID: 31418965 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 16, 2019 Category: Emergency Medicine Authors: Bakhsh A Tags: Acad Emerg Med Source Type: research

Clinical Gestalt for Early Prediction of Delayed Functional and Symptomatic Recovery from Mild Traumatic Brain Injury is Inadequate.
This article is protected by copyright. All rights reserved. PMID: 31397520 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2019 Category: Emergency Medicine Authors: Korley FK, Peacock WF, Eckner JT, Maio R, Levin S, Bechtold KT, Peters M, Roy D, Falk HJ, Hall AJ, Van Meter TE, Gonzalez R, Diaz-Arrastia R Tags: Acad Emerg Med Source Type: research

Hot off the Press: Prospective Validation of a Checklist to Predict Short-term Death in Older Patients After Emergency Department Admission in Australia and Ireland.
This article is protected by copyright. All rights reserved. PMID: 31392777 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 8, 2019 Category: Emergency Medicine Authors: Morgenstern J, Heitz C, Bond C, Milne WK Tags: Acad Emerg Med Source Type: research

Exploring gender bias in nursing evaluations of emergency medicine residents.
Abstract OBJECTIVES: Nursing evaluations are an important component of residents' professional development as nurses are present for interactions with patients and non-physician providers. Despite this, there has been few prior studies on the benefits, harms, or effectiveness of using nursing evaluations to help guide emergency medicine residents' development. We hypothesized that gender bias exists in nursing evaluations and that female residents, as compared to their male counterparts, would receive more negative feedback on the perception of their interpersonal communication skills. METHODS: Data were draw...
Source: Accident and Emergency Nursing - August 1, 2019 Category: Emergency Medicine Authors: Brucker K, Whitaker N, Morgan ZS, Pettit K, Thinnes E, Banta AM, Palmer MM Tags: Acad Emerg Med Source Type: research

Pain scores are not predictive of radiographically evident intraabdominal pathology in patients with abdominal pain.
This article is protected by copyright. All rights reserved. PMID: 31365769 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 31, 2019 Category: Emergency Medicine Authors: Zitek T, Pellman L, Uribe J, Guillen A Tags: Acad Emerg Med Source Type: research

Providing Care or Caring.
This article is protected by copyright. All rights reserved. PMID: 31355476 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 29, 2019 Category: Emergency Medicine Authors: Miller JT Tags: Acad Emerg Med Source Type: research

Can emergency physician gestalt "rule in" or "rule out" acute coronary syndrome: validation in a multi-center prospective diagnostic cohort study.
CONCLUSION: Clinician gestalt is not sufficiently accurate or safe to either "rule in" or "rule out" ACS as a decision-making strategy. This study will enable emergency physicians to understand the limitations of our clinical judgement. This article is protected by copyright. All rights reserved. PMID: 31338902 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 24, 2019 Category: Emergency Medicine Authors: Oliver G, Reynard C, Morris N, Body R Tags: Acad Emerg Med Source Type: research

News from Lake Wobegon …Clinician Gestalt Debunked?
News from Lake Wobegon…Clinician Gestalt Debunked? Acad Emerg Med. 2019 Jul 23;: Authors: Ashburn NP, Stopyra JP, Mahler SA Abstract In Garrison Keillor's Lake Wobegon, "all the women are strong, all the men are good-looking, and all the children are above average." In this fictional place of statistical impossibility, everyone is "better" than his neighbor. This fantasy world is akin to the house of medicine where we each have the tendency to believe that we are the "above average" clinician with superior insight, judgment, and reasoning. This "self-enhanceme...
Source: Accident and Emergency Nursing - July 23, 2019 Category: Emergency Medicine Authors: Ashburn NP, Stopyra JP, Mahler SA Tags: Acad Emerg Med Source Type: research

Tranexamic acid for upper gastrointestinal bleeding.
This article is protected by copyright. All rights reserved. PMID: 31329328 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 22, 2019 Category: Emergency Medicine Authors: Beyda R, Johari D Tags: Acad Emerg Med Source Type: research

Prehospital Care of Pediatric Hypoglycemic Seizure Patients in the State of North Carolina: A Retrospective Cohort Study.
Abstract BACKGROUND: Pediatric seizures are commonly encountered in Emergency Medical Services (EMS). Evidence is accumulating that the rate of hypoglycemia in this setting is low, challenging the concept of routine prehospital glucose measurement. OBJECTIVE: We studied factors associated with EMS protocol compliance for glucose testing in children
Source: Accident and Emergency Nursing - July 21, 2019 Category: Emergency Medicine Authors: Burroughs ZT, Mitchell MS, Hiestand B, Winslow J Tags: Acad Emerg Med Source Type: research

Do Financial Incentives Change Length-of-stay Performance in Emergency Departments? A Retrospective Study of the Pay-for-performance Program in Metro Vancouver.
CONCLUSIONS: The LOS-based financial incentive scheme appears to have influenced the timing of ED patient dispositions. The results suggest mixed consequences of the P4P program-it can reduce access block for admitted patients but may also lead to discharges associated with return visits and admissions. PMID: 31317606 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 18, 2019 Category: Emergency Medicine Authors: Wang Y, Ding Y, Park E, Hunte G Tags: Acad Emerg Med Source Type: research

Opioid Use and Misuse Three Months After Emergency Department Visit for Acute Pain.
CONCLUSION: Opioid use at the 3-month follow-up in ED patients discharged with an opioid prescription for an acute pain condition is not necessarily associated with opioid misuse; 91% of those patients consumed opioids to treat pain. Of the whole cohort, less than 1% reported using opioids for reasons other than pain. The rate of long-term opioid use reported by prescription-filling database studies should not be viewed as a proxy for incidence of opioid misuse. PMID: 31317619 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 18, 2019 Category: Emergency Medicine Authors: Daoust R, Paquet J, Gosselin S, Lavigne G, Cournoyer A, Piette E, Morris J, Castonguay V, Lessard J, Chauny JM Tags: Acad Emerg Med Source Type: research

Unexpected deaths among patients with normal initial vital signs.
This article is protected by copyright. All rights reserved. PMID: 31310671 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 16, 2019 Category: Emergency Medicine Authors: Yan BW, Hsia RY Tags: Acad Emerg Med Source Type: research

Global Emergency Medicine: A Review of the Literature from 2018.
This article is protected by copyright. All rights reserved. PMID: 31313411 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 16, 2019 Category: Emergency Medicine Authors: Trehan I, Osei-Ampofo M, Balhara KS, Hexom BJ, Kivlehan SM, Modi P, Pousson AY, Selvam A, Quao NSA, Cho DK, Becker TK, Levine AC, Global Emergency Medicine Literature Review (GEMLR) Group Tags: Acad Emerg Med Source Type: research

Drowning.
PMID: 31313417 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 16, 2019 Category: Emergency Medicine Authors: Lew EK Tags: Acad Emerg Med Source Type: research

Oriented 3D Ultrasound for Central Venous Cannulation Using an Augmented 2D Ultrasound System.
This article is protected by copyright. All rights reserved. PMID: 31309666 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 15, 2019 Category: Emergency Medicine Authors: Broder JS, Morgan MR, Jaffa E, Theophanous R Tags: Acad Emerg Med Source Type: research

Avoiding misdiagnosis in patients with posterior circulation ischemia.
This article is protected by copyright. All rights reserved. PMID: 31295763 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 11, 2019 Category: Emergency Medicine Authors: Gurley KL, Edlow JA Tags: Acad Emerg Med Source Type: research

Sex Differences in Faculty Rank Among Academic Emergency Physicians in the United States.
This article is protected by copyright. All rights reserved. PMID: 31286614 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 8, 2019 Category: Emergency Medicine Authors: Bennett CL, Raja AS, Kass D, Gross N, Mills AM Tags: Acad Emerg Med Source Type: research

Conflict of Interest Blind Spots in Emergency Medicine.
This article is protected by copyright. All rights reserved. PMID: 31276261 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 5, 2019 Category: Emergency Medicine Authors: Donaldson CM Tags: Acad Emerg Med Source Type: research

Public Deliberation as a Novel Method for an Exception from Informed Consent Community Consultation.
CONCLUSIONS: Structured public deliberation is an effective approach when consulting communities for trials considering EFIC procedures. Future studies are needed to evaluate whether public deliberation methods provide participants with enhanced understanding of clinical trials compared to other community consultation methods. This article is protected by copyright. All rights reserved. PMID: 31271691 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 4, 2019 Category: Emergency Medicine Authors: Powers PE, Shore KK, Perez S, Ritley D, Kuppermann N, Holmes JF, Tzimenatos LS, Shawargga H, Nishijima DK Tags: Acad Emerg Med Source Type: research

Patient versus Physician Perceptions of Frailty: A Comparison of Clinical Frailty Scale Scores of Older Adults in the Emergency Department.
This article is protected by copyright. All rights reserved. PMID: 31265194 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 2, 2019 Category: Emergency Medicine Authors: Dresden SM, Platts-Mills TF, Kandasamy D, Walden L, Betz ME Tags: Acad Emerg Med Source Type: research

Risk Factors for Sedation-Related Events During Acute Agitation Management in The Emergency Department.
CONCLUSIONS: Sedation-related AEs are common, especially respiratory events. Elderly patients, sedation with multiple sedatives within 60 minutes, and alcohol intoxication increased the risk. This article is protected by copyright. All rights reserved. PMID: 31265756 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - July 2, 2019 Category: Emergency Medicine Authors: Yap CYL, Taylor DM, Kong DC, Knott JC, Taylor SE, Sedation for Acute Agitation in Emergency Department Patients: Targeting Adverse Events (SIESTA) Collaborative Study Group Tags: Acad Emerg Med Source Type: research

Factors predicting difficult endotracheal intubation.
This article is protected by copyright. All rights reserved. PMID: 31251423 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - June 28, 2019 Category: Emergency Medicine Authors: Long B, Koyfman A, Gottlieb M Tags: Acad Emerg Med Source Type: research

Resolution of Acute Priapism in Two Children with Sickle Cell Disease who Received Nitrous Oxide.
CONCLUSIONS: Priapism is a challenging complication of SCD associated with long-term morbidity and a paucity of treatment options. Given the risks and inconsistent results of current recommended therapy N2O may represent a potentially superior treatment option for priapism presenting to the ED that warrants further investigation. Although anecdotal N2O inhalation is an option to consider during a time when a treating ED physician may have few alternatives. This article is protected by copyright. All rights reserved. PMID: 31228879 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - June 22, 2019 Category: Emergency Medicine Authors: Greenwald MH, Gutman CK, Morris CR Tags: Acad Emerg Med Source Type: research

Skin in the Game, Black Swans, and Minor Head Injury: Exploring Asymmetries in Emergency Department Decisions.
This article is protected by copyright. All rights reserved. PMID: 31228883 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - June 22, 2019 Category: Emergency Medicine Authors: Pines JM Tags: Acad Emerg Med Source Type: research

Integrated use of conventional chest radiography cannot rule out acute aortic syndromes in emergency department patients at low clinical probability.
CONCLUSIONS: CR integration with clinical probability assessment showed modest rule-in efficiency and insufficient sensitivity for conclusive rule-out. This article is protected by copyright. All rights reserved. PMID: 31220387 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - June 20, 2019 Category: Emergency Medicine Authors: Nazerian P, Pivetta E, Veglia S, Cavigli E, Mueller C, de Matos Soeiro A, Leidel BA, Lupia E, Rutigliano C, Wussler D, Grifoni S, Morello F, ADvISED Investigators Tags: Acad Emerg Med Source Type: research